PO Box 24634 • Tempe, AZ • 85285-4634

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Here's your chance to let the world know that one more Rogue lives!
Just fill in the form and submit it; after a quick review, it will be posted as a survivor!

PLEASE USE ONLY FOR ROGUES & SC/RAMBLERS!
USE THE AMERICAN FORM FOR AMERICANS!

RED fields must be completed! This an     Initial   Updated     Registration Owner Information: Your First & Last Names: Address: City: , State: Zip: Country: Phone #: E-mail address: List my e-mail address so others can write to me! Don't you dare list my e-mail address! Vehicle Information: Year: 1965 (Pacific NW only) 1966 1967 1968 1969  VIN: Vehicle Codes (from metal tag on driver's door): Body: Model: Trim: Paint: Production: If your car is a SC/Rambler, is it 'A' Scheme, or 'B' Scheme? Equipment Original Current Engine: 199 1-bbl 232 1-bbl 232 2-bbl 290 2-bbl 290 4-bbl 343 4-bbl (1967 Only) 390 4-bbl (1969 Only) No Idea CID: / Carb: 1-bbl 2-bbl 4-bbl 2 x 4-bbl EFI Transmission: 3-speed column 3-speed floor 4-speed floor Automatic column Automatic floor Twin Stick 3-speed column 3-speed floor 4-speed floor 5-speed floor Automatic column Automatic floor Twin Stick Rear Axle: 2.73 2.87 3.08 3.31 3.15 3.54 3.73 3.91 4.10 4.44 Standard Twin Grip Standard Twin Grip Factory Options: Power Steering Power Brakes Disc Brakes Air conditioning Tachometer Handling Package Vinyl Roof Radio Center Console Center Arm Rest Sport Steering Wheel Electric Wipers Other: Mileage:    Actual   Estimated Any Comments?